Incidence and characterization of the anterior resection syndrome through the use of the LARS scale (low anterior resection score)

Cirugía española
Alberto CarrilloNerea Borda

Abstract

Recently a score (LARS) has been internationally validates that quantifies the anterior resection syndrome (ARS). The objective of this study is to know the incidence and severity of the ARS using LARS and its correlation with selected variables or risk factors. All operated patients with anterior resection for rectal cancer between October 2007 and February 2014, with curative intention and at least one year of functionality, were sent a LARS questionnaire. The variables studied were: Age sex, time elapsed since surgery, type of surgical approach, type of anastomosis, derivative ileostomy, postoperative pelvic complication, and radiotherapy regimen. Out of 195 patients, 136 (70%) responded, and 132 responded properly. A total of 47% of the patients presented "severe" LARS and 34% did not develop quantifiable ARS. Quality of life was worse in the highest LARS scores (P=.002). In the univariate analysis, total mesorectal excision, long radiotherapy regimen and derivative stoma were associated to "severe" LARS and the use of a reservoir was associated with minor LARS. In multivariate analysis only the type of resection (P<.001) and the use of a reservoir (P=.002) were individual factors related to LARS. Half of the operated patie...Continue Reading

References

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Citations

Sep 17, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R M Jiménez-RodríguezF de la Portilla
Aug 18, 2018·ANZ Journal of Surgery·Alexander D CroeseYik-Hong Ho
Jun 21, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Ali BohlokGabriel Liberale
Oct 1, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Luis Miguel Jimenez-GomezManuel Armengol-Carrasco
Oct 4, 2016·International Journal of Colorectal Disease·Alessandro SturialeAndrea Valeri
Jan 26, 2021·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·George E TheodoropoulosGeorge Zografos
Sep 3, 2021·International Journal of Colorectal Disease·Kevin AfshariMaziar Nikberg

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